Uterine torsion in patient with major placenta previa

Adnan, Wan Aasim Wan; Shamsudin, Faridah; Zon, Erinna Mohamad

doi:10.1016/j.ejogrb.2020.12.007

Cited by 4 publications

(5 citation statements)

References 11 publications

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“…Placenta previa is a common and severe complication of pregnancy that can lead to complications such as postpartum hemorrhage DQG DPQLRWLF ˞XLG HPEROLVP >@ )XUWKHUPRUH studies have shown that the frequency of preterm GHOLYHU\ DQG ORZ ELUWK ZHLJKW LQIDQWV LV VLJQL˝FDQWO\ higher in women with PP than those with a normal placental position [2,5], indicating an increased risk of adverse neonatal outcomes. Therefore, investigating the risk factors associated with PP is crucial for reducing the likelihood of unfavorable consequences for both the mother and the child.…”

Section: Discussionmentioning

confidence: 99%

Risk factors for placenta previa among pregnant women of Kyiv, Ukraine: a retrospective cohort study

Berestovyi,

Zelinska,

Gerevich

et al. 2023

MPU

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Placenta previa is a significant obstetric problem with elevated morbidity and mortality rates for both mother and fetus. The risks associated with placenta previa underscore the necessity for comprehensive treatment and timely intervention to mitigate adverse outcomes. Purpose - to conduct a retrospective analysis of the impact of obstetric-gynecological factors on the prediction of placenta previa occurrence and its influence on perinatal outcomes. Materials and methods. A retrospective cohort study was conducted on cases of placenta previa between 2018 and 2022. The study included 22491 deliveries, of which 65 (0.29%) cases were registered as placenta previa. Data from delivery records of 374 patients without placenta previa were used for comparison. The following variables were evaluated for all patients: maternal age, characteristics of the menstrual cycle, gravidity, parity, history of cesarean sections, gestational age at delivery, method of delivery, blood loss during delivery, length of postpartum hospitalization, birth weight, gender of the newborn, Apgar scores at 1 and 5 minutes. Gynecological intervention histories, including curettage/hysteroscopy, laparoscopy, and cervical treatment, as well as obstetric pathologies, such as cesarean section, ectopic pregnancy, instrumental abortions, missed pregnancies, and assisted reproductive technologies in the last pregnancy, were examined. Results. Multifactorial analysis revealed four significant risk factors. The risk of placenta previa was found to increase with advanced maternal age (p<0.001), OR=1.14 (95% CI 1.07-1.20), and the presence of previous cesarean sections (p<0.001), OR=5.51 (95% CI 2.73-11.1), while a history of previous deliveries reduced the risk (p<0.001), OR=0.24 (95% CI 0.15-0.40). Instrumental abortions increased the risk of placenta previa (p=0.001), OR=2.14 (95% CI 1.20-3.81). Newborns in the placenta previa group had lower Apgar scores at 1 and 5 minutes and lower birth weight. Conclusions. The obtained results emphasize the importance of considering risk factors in assessing placenta previa occurrence during antenatal monitoring and can contribute to improving obstetric and perinatal care for women. However, the morphological and functional basis of placenta previa remains unknown and requires further study. The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the Local Ethics Committee of participating institution. No conflict of interests was declared by the authors.

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Section: Discussionmentioning

confidence: 99%

Risk factors for placenta previa among pregnant women of Kyiv, Ukraine: a retrospective cohort study

Berestovyi,

Zelinska,

Gerevich

et al. 2023

MPU

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“…PP is a common and serious complication of pregnancy and is one of the main causes of maternal hemorrhage in the second trimester, and can also cause maternal postpartum hemorrhage, amniotic fluid embolism, and other adverse events ( 15 , 16 ). In addition, studies ( 17 , 18 ) have shown that the incidence of preterm fetal delivery and low birth weight fetuses is significantly higher in women with PP than in those with normal placental position, which shows that the occurrence of PP can also increase the risk of adverse neonatal outcomes, bring serious adverse effects to the family and society.…”

Section: Discussionmentioning

confidence: 99%

Clinical Analysis of Factors Influencing the Development of Placenta Praevia and Perinatal Outcomes in First-Time Pregnant Patients

Zhou

Zhao

2022

Front. Surg.

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ObjectiveTo analyze the risk factors associated with the development of placenta praevia (PP) in first-time pregnant patients and to observe the perinatal clinical outcomes of patients.MethodsThe clinical data of 112 pregnant women with PP (PP group) and 224 pregnant women with normal placental position (general group) who delivered in our hospital from August 2016 to August 2021 were retrospectively analyzed. Baseline demographic data such as age, gestational week, uterine history, assisted reproductive technology use, pregnancy comorbidities, pre-pregnancy body mass index (BMI), smoking, alcohol consumption, placental position, educational level, work were collected from both groups, and logistic regression models were used to analyze the factors influencing the occurrence of PP in patients with first pregnancy. Perinatal outcomes such as implementation of hemostatic treatment (uterine balloon compression, arterial ligation, and B-Lynch suture), maternal postpartum related indicators (amount of postpartum bleeding, incidence of postpartum hemorrhage, blood transfusion rate, blood transfusion volume, and length of hospital stay), and neonatal condition (birth weight, Apgar score at 1 and 5 min after birth) were counted and compared between the two groups.ResultsHistories of endometriosis, use of assisted reproductive technology, and smoking or secondhand smoke inhalation were all high risk factors for PP in patients with first pregnancies, and the proportion of maternal and neonatal adverse outcomes was significantly higher in the PP group than in the general group (P < 0.05).ConclusionHistories of endometriosis, smoking (secondhand smoke), and use of assisted reproductive technologies are independent risk factors for PP in patients with first pregnancies, which can increase the risk of labor and death of the newborn.

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“…Статья "Uterine torsion in patient with major placenta previa" авторов Wan Adnan W.F., Shamsudin F., Mohamad Zon E. рассматривает случай ротации матки у беременной с полным предлежанием плаценты [19]. Ротация матки является редким осложнением беременности, которое может привести к гипоксии плода, преждевременному родоразрешению и даже материнской смертности.…”

Section: предлежание плаценты актуальная проблема в современной акуше...unclassified

“…Младенец родился живым и здоровым. Авторы статьи обсуждают риск развития ротации матки у пациенток с placenta previa и предлагают в случаях высокого риска проводить раннюю диагностику, а также в случае его развития -своевременное оперативное вмешательство [19].…”

Section: предлежание плаценты актуальная проблема в современной акуше...unclassified

Предлежание Плаценты - Современное Акушерство Актуальная Проблема На Практике

D.F. Gurbanova,

A.A. Gasimova,

A.F. Amirova

et al. 2024

modern gynecology

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Предлежание плаценты (рlacenta previa) -является одной из серьезных и актуальных проблем современного акушерства. В литературе «рlacenta previa» рассматривается как аномальное расположение плаценты, которое в 34% случаев во время беременности, в 66% случаях во время родов приводит к возникновению массивных аку-шерских кровотечений. Необходимо подчерк- нуть, что возникновение массивных кровотечений требует принятия радикальных мер, вплоть до тотальной гистерэктомии. Нередко «рlacenta previa» является основной причиной материнской и перинатальной смертности [1-3].

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Uterine torsion in patient with major placenta previa

Cited by 4 publications

References 11 publications

Risk factors for placenta previa among pregnant women of Kyiv, Ukraine: a retrospective cohort study

Risk factors for placenta previa among pregnant women of Kyiv, Ukraine: a retrospective cohort study

Clinical Analysis of Factors Influencing the Development of Placenta Praevia and Perinatal Outcomes in First-Time Pregnant Patients

Предлежание Плаценты - Современное Акушерство Актуальная Проблема На Практике

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